DOROTHY RUTH RIZ DEROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009463

License Status

NOT RENEWED

Business

First Name

DOROTHY RUTH RIZ

Last Name

DEROSE

Business Name

DOROTHY RUTH RIZ DEROSE

Original Issue Date

08/17/1948

Effective Date

08/17/1948

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005